Mr Samuel Tae Kim, PA-C in Gainesville, FL - Medicare Physician Assistant

Mr Samuel Tae Kim, PA-C is a medicare enrolled "Physician Assistant" in Gainesville, Florida. His current practice location is 1515 Sw Archer Rd, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 733-0800.

Mr Samuel Tae Kim is licensed to practice in Florida (license number PA9107565) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962832477.

Contact Information

	Mr Samuel Tae Kim, PA-C
	1515 Sw Archer Rd, Gainesville, FL 32608-1134
	(352) 733-0800
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Samuel Tae Kim
Gender	Male
Speciality	Physician Assistant
Location	1515 Sw Archer Rd, Gainesville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962832477
Provider Enumeration Date: 11/19/2013
Last Update Date: 01/14/2014

Medicare PECOS Information:

PECOS PAC ID: 9032347620
Enrollment ID: I20140103000944

Medical Identifiers

Medical identifiers for Mr Samuel Tae Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962832477	NPI	-	NPPES
010389300	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA9107565 (Florida)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Samuel Tae Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Samuel Tae Kim, PA-C 3800 Sw 34th St, Apt S174, Gainesville, FL 32608-6562 Ph: (407) 739-4009	Mr Samuel Tae Kim, PA-C 1515 Sw Archer Rd, Gainesville, FL 32608-1134 Ph: (352) 733-0800

Reviews and Comments

Physician Assistant Nurses in Gainesville, FL

Ann Lauren Robinson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7046 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-733-1772 Fax: 352-372-5164
Mrs. Elizma Eksteen Mercier, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 5612 Nw 43rd St, Gainesville, FL 32653 Phone: 352-376-4542
Elizabeth Burford Henderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-5501
Erica Lynn Iketani, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd Rm 10-504, Gainesville, FL 32610 Phone: 352-265-0462
Javier Gonzalez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7540 W University Ave, Gainesville, FL 32607 Phone: 352-647-9700
Ms. Julia Adams, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-5550 Fax: 352-273-5575
William R Wright, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4343 W. Newberry Road, Suite 13, Gainesville, FL 32607 Phone: 352-332-7770 Fax: 352-332-1119

Mr Samuel Tae Kim, PA-C - Medicare Physician Assistant in Gainesville, FL